Earlier this week, I finally got my estimate for health insurance for next year. (My husband does not get health insurance through his employment for a number of reasons, so I purchase it through a semi-complicated arrangement). I was hoping (ha ha ha ha, look at me) that it would at least be limited to a 20% increase, but no. It was 38%. Also, our individual deductibles went up by $1500.
If you are not from the US and do not understand this, what I am saying is that I am now spending $16,560 a year (compared to $11,988 last year), and this gives me almost no coverage until I spend an additional $6500 on health care, and yes, that is just me; my husband has a separate, additional $6500 deductible.
I was going to say, “I am not complaining about this,” but… I'm complaining about it. What I mean when I say, “I am not complaining about this” is “I know a lot of other people have it worse.” And also, I know people who have it better, who breathed a sigh of relief that their insurance was “only” 17% up, and that is also still complain-worthy. A 17% increase is a lot of money!
I was not directly subsidized care under the Affordable Care Act, which is the particular subsidy that was revoked by the GOP under Trump, making the cost of insurance skyrocket for some unlucky individuals by somewhere between 2x and 10x.
But millions of people are losing insurance because they can no longer afford care. And what that means is that the cost of insurance is increasing radically for everyone. Insurers assume that people who are basically healthy will not get insurance; this means their payer mix will be sicker. Thus, failing to subsidize insurance for everyone means that all of us have to pay more. We were all being indirectly subsidized by the Affordable Care Act, because expanding the risk pool makes insurance cheaper.
There is a very obvious lesson to be learned here as a country, but will the people in power learn it?
Sigh.
I sat down with my husband and we jiggered the budget here and fussed around there. (Part of the reason this newsletter is late is taking time to budget-jigger.) We were able to make this work, and most importantly, I was able to protect the budget item that is most important to me--which is, my ability to help out a little bit when I am able. Because that will be even more necessary as more and more people get crunched.
But I had to be a little creative to make things work. (You will hear more about some of this later.)
I am lucky that I had a budget that I could jigger in this fashion. I recognize that. A lot of people don't, and that is a sobering reality heading into the New Year.
This has definitely been a kick in the pants, and I suspect a lot of people have had their pants kicked by this. I'm sorry. We have got to change this.